Huijsmans-Evers A G
Arch Chir Neerl. 1978;30(3):141-50.
This article describes the routine for the detection of dispersers in relation to the contamination of the air in operating rooms and postoperative wound infections during 1968 through 1972. Out of 3,039 persons, submitted to a dispersal test, ,22 were dispersers (4%). Staph. aureus was found in scalp hair (21.5%) and beards (15.5%). Persons with skin lesions proved to be the heaviest dispersers. After taking measures to prevent dispersers from attending, we still found 18 dispersers in operating rooms. The number of Staph. aureus showed a sharp increase during their attendance. Dispersal in the air of the operating room by 9 dispersers was the cause of 19 postoperative wound infections. Two workers in the operating room, whose dispersal tests were negative, later caused two wound infections (temporary dispersers?). A continuous checking of operating rooms by sedimentation plates is definitely necessary in combination with dispersal tests.
本文描述了1968年至1972年期间,与手术室空气污染及术后伤口感染相关的散播者检测程序。在接受散播测试的3039人中,有22人是散播者(4%)。在头皮毛发(21.5%)和胡须(15.5%)中发现了金黄色葡萄球菌。有皮肤损伤的人被证明是最大的散播者。在采取措施防止散播者进入后,我们在手术室中仍发现了18名散播者。在他们进入期间,金黄色葡萄球菌的数量急剧增加。9名散播者在手术室空气中的散播导致了19例术后伤口感染。手术室的两名工作人员,其散播测试呈阴性,后来导致了两例伤口感染(临时散播者?)。结合散播测试,绝对有必要用沉降平板对手术室进行持续检查。